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利用钙调神经磷酸酶作为一种新型抗侵袭性真菌感染的抗感染药物。

Harnessing calcineurin as a novel anti-infective agent against invasive fungal infections.

作者信息

Steinbach William J, Reedy Jennifer L, Cramer Robert A, Perfect John R, Heitman Joseph

机构信息

Division of Pediatric Infectious Diseases, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina 27710, USA.

出版信息

Nat Rev Microbiol. 2007 Jun;5(6):418-30. doi: 10.1038/nrmicro1680.

Abstract

The number of immunocompromised patients with invasive fungal infections continues to increase and new antifungal therapies are not keeping pace with the growing incidence of these infections and their associated mortality. Calcineurin inhibition is currently used to exert effective immunosuppression following organ transplantation and in treating various other conditions. However, the calcineurin pathway is also intricately involved in the growth and pathogenesis of the three major fungal pathogens of humans, Cryptococcus neoformans, Candida albicans and Aspergillus fumigatus, and the exploitation of fungal calcineurin pathways holds great promise for the future development of novel antifungal agents. This Review summarizes our current understanding of calcineurin biology in these fungal species, and its exciting potential role in treating invasive fungal infections.

摘要

侵袭性真菌感染的免疫功能低下患者数量持续增加,而新的抗真菌疗法却未能跟上这些感染发病率及其相关死亡率不断上升的步伐。目前,钙调神经磷酸酶抑制作用被用于器官移植后及治疗其他各种病症时实施有效的免疫抑制。然而,钙调神经磷酸酶信号通路也与人类三大主要真菌病原体——新型隐球菌、白色念珠菌和烟曲霉的生长及发病机制密切相关,利用真菌钙调神经磷酸酶信号通路在新型抗真菌药物的未来开发方面具有巨大潜力。本综述总结了我们目前对这些真菌物种中钙调神经磷酸酶生物学的理解,以及其在治疗侵袭性真菌感染中令人兴奋的潜在作用。

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